Liberty Commons Nursing & Rehab Center of Alamance County

    791 Boone Station Dr, Burlington, NC, 27215
    3.9 · 59 reviews
    • Assisted living
    • Skilled nursing
    AnonymousLoved one of resident
    4.0

    Excellent rehab but inconsistent staff

    I trusted Liberty Commons with my mom and was impressed by the excellent PT/OT rehab, compassionate nurses and wound-care team, tasty meals, clean facility and engaging activities - staff like Paula, Sabrina, Alex and Ashley were outstanding and gave us real peace of mind. That said, staff quality is inconsistent: some CNAs were unprofessional or distracted, and we experienced troubling incidents (delayed response to a fall, bedsores, pneumonia/COVID handling and communication lapses). Administration/ admissions communication and weekend staffing were sometimes poor. I recommend Liberty Commons for rehab/skilled nursing but urge close family oversight and clear communication up front.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.88 · 59 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.9
    • Staff

      3.9
    • Meals

      3.8
    • Amenities

      3.4
    • Value

      2.0

    Pros

    • Excellent physical therapy and occupational therapy
    • Rehabilitation-focused care with strong recovery outcomes
    • Attentive, compassionate nurses in many cases
    • Knowledgeable and effective wound care team
    • Supportive and skilled hospice CNAs and nurses
    • Friendly and helpful front-desk/reception staff
    • Supportive social work and admissions coordinators
    • On-time medication administration reported by some families
    • Clean rooms and neat facility reported by multiple reviewers
    • Dedicated kitchen staff and positive dining area for some residents
    • Some reviewers reported very tasty or amazing meals
    • Good family communication from certain staff members
    • Practical fall-safety measures and individualized care plans
    • Positive short-term rehab outcomes enabling return home
    • Activities and dining areas described as nice and engaging
    • Staff who go out of their way and create a family-like atmosphere
    • Helpful transition and admission experiences for some families
    • Specific staff members consistently praised for compassion and professionalism
    • Daily wound care/bandage changes in positive cases
    • Effective pain management for some residents

    Cons

    • Inconsistent quality of nursing staff and CNAs
    • Reports of neglect: patients left on floor or lying unattended
    • Allegations of dehydration, starvation, or denied medications
    • Instances of bedsores and poor wound prevention
    • Serious safety incidents (falls left unattended, septic infections)
    • Poor or delayed infection-control/COVID responses
    • Administration and customer-service communication problems
    • Leadership and care-coordination gaps between teams
    • Unprofessional or rude staff behavior reported
    • Perceived lack of physician presence ("never met a doctor")
    • Weekend staffing shortages and uneven coverage
    • Occasional pervasive odors (urine/feces) and soiled linens
    • Reports of trash/linen left on floors and housekeeping lapses
    • Food quality inconsistent; several callers reported horrible meals
    • Old building and visible repair/grounds maintenance needs
    • Allegations of improper lab draws and questionable clinical practices
    • Value/pricing concerns relative to meal quality and services
    • Admissions unprofessionalism and poor communication around placement
    • Mixed reports on cleanliness and surface deep-cleaning delays
    • Staff distracted by phones and lack of respectful boundaries

    Summary review

    Overall sentiment in these reviews is mixed but strongly polarized: a substantial number of families and residents praise Liberty Commons Nursing & Rehab Center for outstanding rehabilitation services (PT/OT), compassionate individual caregivers, and successful short-term rehab outcomes, while a significant minority report serious safety, neglect, and management problems. The most consistent positive theme is rehabilitation excellence — physical and occupational therapy teams are repeatedly described as "top-notch," "unbelievable," and responsible for measurable functional gains that allowed residents to return home. Many reviewers single out therapists (and sometimes kitchen staff or individual nurses/CNAs) who provided attentive, motivating, and clinically effective care. Positive accounts also emphasize compassionate hospice care, effective wound care and pain management in certain cases, friendly receptionists, accommodating social workers, and a clean, welcoming dining/activity environment for some residents.

    However, recurring negative themes raise safety and quality-of-care concerns. Multiple reviews describe neglectful or unsafe situations: residents reportedly left on the floor for extended periods, dehydration or inadequate feeding, delayed or denied pain medications, progression to serious infections (including septic episodes), unexplained bruises, and bedsores. These are not isolated, one-off criticisms — various accounts attribute such outcomes to inconsistent staff training, inattentive CNAs, and inadequate supervision. Several reviewers specifically noted a troubling variability: while some nurses and CNAs are lauded as "angels" or "wonderful," others are labeled unprofessional, "mouthy," or seemingly uneducated. Weekend staffing shortages were mentioned as contributing to gaps in care.

    Administration, communication, and care coordination emerge as another clear pattern of concern. Many family members report difficulty getting timely callbacks, brusque or unhelpful admissions staff, and poor communication about clinical changes or incidents. Some reviewers felt leadership failed to coordinate care effectively across nursing, therapy, and medical providers — examples include not meeting with physicians, delayed deep-cleaning after an outbreak, and inconsistent follow-up after adverse events. Several reviews also expressed frustration about value for money, citing pricing concerns when food quality or services did not meet expectations.

    Facility condition and housekeeping feedback is mixed. Dozens of reviewers praised cleanliness, neat rooms, and well-maintained dining areas, while others reported pervasive odors (urine/feces), soiled towels and sheets, trash or linens left on floors, and an overall older building in need of repairs. These differences may reflect variable unit-level housekeeping performance or episodic problems (for example, outbreak-related cleaning delays were specifically mentioned).

    Food and dining receive polarized feedback. Some families and residents described meals as "delicious," "amazing," and appreciated in-room dining options and attractive dining spaces. Contrastingly, several reviewers called the food "horrible" and questioned meal quality relative to cost. This split suggests inconsistent dining experiences across shifts or dietary needs, or that meal satisfaction varies significantly by individual taste and expectations.

    Infection control and COVID-related issues are notable. A number of reviews reference a COVID outbreak, delays in deep cleaning, and staff not properly masked. Some families felt infection-control protocols and quarantine decisions were mismanaged (one reviewer alleges a resident was sent home while COVID-positive). These issues heightened families' concerns about safety and oversight during the pandemic.

    Staff professionalism and interpersonal skills vary widely in the reviews. Many entries praise specific individuals for kindness, patience, and exemplary service (receptionists, bus drivers, social workers, and frontline therapists). Simultaneously, there are repeated comments about unprofessional CNAs, rude interactions, and staff who lack respectful boundaries or proper verbal skills. This suggests an inconsistent culture or uneven training and supervision across employees and shifts.

    Taken together, the pattern indicates Liberty Commons can provide excellent rehabilitative and, in many cases, compassionate nursing care — especially where dedicated therapy teams, attentive nurses, and engaged support staff are present. At the same time, there are credible and concerning reports of episodic neglect, safety lapses, communication failures, and variable cleanliness and food services. For prospective families: the facility may be an excellent choice for people prioritizing short-term rehab and strong PT/OT support, but it would be prudent to ask direct questions about weekend staffing, wound-care protocols, physician involvement, infection-control practices, and staff supervision. Observing specific units, checking recent inspection reports, and seeking references about leadership responsiveness may help assess whether the positive experiences or the negative patterns are more likely to apply to a prospective resident.

    Location

    Map showing location of Liberty Commons Nursing & Rehab Center of Alamance County

    About Liberty Commons Nursing & Rehab Center of Alamance County

    Liberty Commons Nursing & Rehabilitation Center of Alamance County sits on Boone Station Drive in Burlington, close by Alamance Regional Medical Center, and you can tell the place is easy for families and doctors to get to since I-40's right around the corner, and the facility has 122 skilled nursing beds for both short and long stays so folks don't have to move if their needs change. The staff includes registered nurses, licensed practical nurses, certified nursing assistants, and there's always a nurse on staff because they do round-the-clock care, and you'll find a full-time physician as well as experts like a wound care doctor, a geriatric psychiatrist, a consulting physiatrist, and a podiatrist on hand, so residents have access to everything from wound care and IV therapy to medication support and more complicated issues if needed, and they accept Medicare, Medicaid, long-term care insurance, and private funds, which helps a lot of families.

    Something you'll notice about Liberty Commons is the focus on personalized care plans; the clinical team develops these person-centered plans after looking at what each resident needs, and they don't just guess because they have a well-equipped therapy gym, an Activities of Daily Living Suite for occupational therapy, and therapists handle physical, speech, and occupational therapy right on site, which means short-term rehab after accidents or surgery runs smoother, and long-term residents with memory care get plans for Alzheimer's or dementia with special programs in their dedicated dementia unit. Residents also receive extra support for daily living, like help with dressing, grooming, or bathing, and if someone needs palliative or hospice care, that's available too along with fall prevention and incontinence management, and staff try to keep everyone safe with emergency call systems, safety features, and a sprinkler system throughout the property.

    The rooms feel homey since there are private and semi-private options with some having in-room fridges and flat-screen TVs with cable, and certain rooms also get kitchenettes, plus guests can park on site, Wi-Fi's complimentary, and everything's cleaned regularly with laundry and dry-cleaning service taken care of, so you'll see housekeepers moving through the building just about every day. Residents can enjoy meals in common spaces or in their rooms, and there's a big focus on keeping folks active and connected with game rooms, arts and crafts, educational and fitness programs, a salon/barbershop with spa bathing rooms, as well as indoor and outdoor places for socializing or just sitting with visitors or family, and you'll see transportation vans picking up and dropping off residents for medical appointments or outings. The therapy staff uses treatments like diathermy, ultrasound, electrical and vital stimulation to help manage pain or trouble with swallowing, and if residents need speech therapy after a stroke or support with memory issues, those services are right there.

    The community emphasizes dignity and respect, and staff aim to make Liberty Commons feel like home, not a hospital, while the administrator, Gabriel Tew, and the in-house therapy team work with families on care or insurance planning. Admission's open seven days a week, and they're part of the North Carolina Health Care Facilities Association, so you get a sense that things are run with a certain standard, and with a 3.4 rating from 23 reviews, families get a clear picture that the center serves a lot of folks with a broad range of needs, from short stays to long-term support for more advanced aging or end-of-life care.

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